基于实际应用的框架。

我们的标准和最佳实践建议共同为综合卫生信息交换系统奠定了基础。

基于标准

We adopt best practices and influence international health information sharing standards to keep our recommendations up-to-date.
可实施

The OpenHIE Architecture provides patterns that can be used as foundations to support complex, interoperable systems for information exchange.
模块化

Our architecture recommendations are not one-size-fits-all. The components are modular to make the system work for your community’s needs.

The Architecture

A Health Information Exchange (HIE) makes sharing health data across information systems possible. It enables data to be shared between databases, facilities, and across regions or countries.

OpenHIE’s Architecture is made up of patterns that ensure that health information from various external systems is gathered into a single, uniﬁed HIE. To accomplish this, the exchange normalizes the context in which health information is used by focusing on the “for whom”, ”by whom”, “where”, and “what” of a patient’s health visit, bringing relevant information through a layer of interoperability and directly to the point of service. Additionally, OpenHIE also integrates medical supply data. This supports enhanced decision-making, improves the quality, safety, and continuity of care, and facilitates the appropriate use of information to improve health in a population.

| 第1层 |

架构组件

Business Domain Services & Registry Services

The ﬁrst layer of the architecture consists of business domain services and registry services. Business domain components are designed to support speciﬁc health system business domains and would have the potential to combine data from multiple point-of-service and point-of-care systems. Registry services are designed to uniquely identify and track unique patients, facilities, healthcare products and terminology that are used throughout the health information exchange.

查看组件

业务领域服务

122

物流管理系统
126

共享的健康记录
119

卫生管理信息系统
118

金融和保险服务

注册服务

127

术语服务
115

客户注册中心
117

机构注册中心
120

卫生工作者注册中心
125

产品目录

| 第2层 |

交互操作层

Interoperability Services Layer

The second layer of the architecture acts as a gateway between the business domain and registry services and the points of service, keeping data secure and consistent.

| 第3层 |

服务点

Point of Service Layer

Points of service , including those such as OpenMRS electronic medical records (EMR) system and the RapidSMS mHealth application, are used by clinicians and by community health workers to access and update a patient’s person-centric shared health information and to record healthcare transactions.

查看服务点

服务点

123

社区卫生信息系统
116

电子病历
119

卫生管理信息系统
121

实验室系统
124

药房系统
122

物流管理系统
118

金融和保险服务

OpenHIE Architecture Specification

This speciﬁcation documents the OpenHIE Architecture components and the requirements for each OpenHIE component. In addition, the speciﬁcation documents the OpenHIE workﬂows (data exchanges) and the underlying standards that support the workﬂows.

This is a living document created by the OpenHIE Community and based upon real-world implementations and needs. You are encouraged to provide comments, proposed edits, and other suggestions for future versions on our Discourse forum site. If you have questions or need help unrelated to this guide, please contact us.

View Specification